经阴道子宫肌瘤剔除术。

Department of Surgery and Specialized, Faculty of Medicine, Universidade Federal Fluminense, UFF, Niterói 24020-141, RJ, Brazil.

University of the Maternal-Infant Department of the Faculty of Medicine, Universidade Federal Fluminense, UFF, Niterói 24020-141, RJ, Brazil.

Medicina (Kaunas). 2022 Nov 11;58(11):1627. doi: 10.3390/medicina58111627.

Leiomyomas are the most common pelvic tumors. Submucosal fibroids are a common cause of abnormal bleeding and infertility. Hysteroscopic myomectomy is the definitive management of symptomatic submucosal fibroids, with high efficacy and safety. Several techniques have been introduced over time and will be covered in depth in this manuscript. Advances in optics, fluid management, electrosurgery, smaller diameter scopes, and tissue removal systems, along with improved training have contributed to improving the safety and efficiency of hysteroscopic myomectomy.

子宫肌瘤是最常见的盆腔肿瘤。黏膜下肌瘤是异常出血和不孕的常见原因。宫腔镜子宫肌瘤切除术是有症状的黏膜下肌瘤的明确治疗方法，具有高效和安全的特点。随着时间的推移，已经引入了几种技术，本文将对此进行深入探讨。光学、流体管理、电外科、更小直径的内窥镜和组织切除系统的进步，以及培训的改善，都有助于提高宫腔镜子宫肌瘤切除术的安全性和效率。